The Effect of Botulinum Toxin on an Iatrogenic Sialo-Cutaneous Fistula.
10.7181/acfs.2016.17.4.237
- Author:
Seung Eun HONG
1
;
Jung Woo KWON
;
So Ra KANG
;
Bo Young PARK
Author Information
1. Department of Plastic and Reconstructive Surgery, Ewha Womans University Mokdong Hospital, Ewha Womans University School of Medicine, Seoul, Korea. byps@icould.com
- Publication Type:Case Report
- Keywords:
Salivary gland fistula;
Botulinum toxins;
Squamous cell carcinoma
- MeSH:
Botulinum Toxins*;
Carcinoma, Squamous Cell;
Cholinergic Antagonists;
Fistula*;
Humans;
Parotid Gland;
Parotid Region;
Saliva;
Salivary Gland Fistula;
Salivary Glands;
Skin
- From:Archives of Craniofacial Surgery
2016;17(4):237-239
- CountryRepublic of Korea
- Language:English
-
Abstract:
A sialo-cutaneous fistula is a communication between the skin and a salivary gland or duct discharging saliva. Trauma and iatrogenic complications are the most common causes of this condition. Treatments include aspiration, compression, and the administration of systemic anticholinergics; however, their effects are transient and unsatisfactory in most cases. We had a case of a patient who developed an iatrogenic sialo-cutaneous fistula after wide excision of squamous cell carcinoma in the parotid region that was not treated with conventional management, but instead completely resolved with the injection of botulinum toxin. Based on our experience, we recommend the injection of botulinum toxin into the salivary glands, especially the parotid gland, as a conservative treatment option for sialo-cutaneous fistula.
